I'd like some clarity on what you mean by "schizoid". Do you mean "schizo," as schizoid personality disorder is entirely different from schizophrenia..? In any case, this is the sort of language (OMG i'm so OCD!!, etc.) that adds to the stigma around mental health issues. As a medical professional I'm sure you work with people with mental health issues.
Almost everyone in my sphere has finally had Covid, most only in the past year because I guess I hang with a lot of maskers and vaxxers. For most folks it came and went without much fanfare. I agree that our health policies need to factor in the vast majority of cases now that morbidity is low. But health policy and heath care are two different things. I’ve seen close up how heath care has moved on from Covid as my wife has been felled by mysterious neuropathy for months with pain that started on her third day — Covid that came from a cousin who came to visit with full knowledge she had it. Notable that two doctors declined to give my wife Paxlovid on days 1 and 2 of her illness this summer and a half dozen others have said, “Oh, sucks to be you” with no answers or solutions on the horizon. So here’s a voice for post-Covid sufferers and the loved ones who are picking up their pieces. They’re on the beach living large one day and pitiful shells of their former selfs after Covid. But not dead.
"We also know that the sicker you are and the sicker you get both increase the risk of Long Covid. Reassuringly - and this corresponds with my clinical experience - Long Covid appears to wane over time. Beyond all that, Long Covid largely remains a black box." I am reasonably in agreement with your arguments overall, but can't help commentating, that in a lot of cases (and no I can't put an exact number to it, but we are members of several online Long Covid groups and see what goes on there) Long Covid does NOT seem to wane over time. Unfortunately my wife and I have direct personal experience of this - we've both had Long Covid for 3.5 years with no sign of it waning. We were also unlucky to get reinfected after visiting friends a month ago - their daughter tested positive the following morning. We have tried to be careful, but it happened. Now a month later my LC symptoms are really bad - I'm sleeping 16 hours a day and feel lousy. So the phrase"appears to wane over time" needs qualification. I also saw a study which concluded that for 80% of people with LC their symptoms worsen after re-infection. Believe me, I'd like to feel there is a strong reason to hope - but I don't see one.
I'd like some clarity on what you mean by "schizoid". Do you mean "schizo," as schizoid personality disorder is entirely different from schizophrenia..? In any case, this is the sort of language (OMG i'm so OCD!!, etc.) that adds to the stigma around mental health issues. As a medical professional I'm sure you work with people with mental health issues.
Almost everyone in my sphere has finally had Covid, most only in the past year because I guess I hang with a lot of maskers and vaxxers. For most folks it came and went without much fanfare. I agree that our health policies need to factor in the vast majority of cases now that morbidity is low. But health policy and heath care are two different things. I’ve seen close up how heath care has moved on from Covid as my wife has been felled by mysterious neuropathy for months with pain that started on her third day — Covid that came from a cousin who came to visit with full knowledge she had it. Notable that two doctors declined to give my wife Paxlovid on days 1 and 2 of her illness this summer and a half dozen others have said, “Oh, sucks to be you” with no answers or solutions on the horizon. So here’s a voice for post-Covid sufferers and the loved ones who are picking up their pieces. They’re on the beach living large one day and pitiful shells of their former selfs after Covid. But not dead.
"We also know that the sicker you are and the sicker you get both increase the risk of Long Covid. Reassuringly - and this corresponds with my clinical experience - Long Covid appears to wane over time. Beyond all that, Long Covid largely remains a black box." I am reasonably in agreement with your arguments overall, but can't help commentating, that in a lot of cases (and no I can't put an exact number to it, but we are members of several online Long Covid groups and see what goes on there) Long Covid does NOT seem to wane over time. Unfortunately my wife and I have direct personal experience of this - we've both had Long Covid for 3.5 years with no sign of it waning. We were also unlucky to get reinfected after visiting friends a month ago - their daughter tested positive the following morning. We have tried to be careful, but it happened. Now a month later my LC symptoms are really bad - I'm sleeping 16 hours a day and feel lousy. So the phrase"appears to wane over time" needs qualification. I also saw a study which concluded that for 80% of people with LC their symptoms worsen after re-infection. Believe me, I'd like to feel there is a strong reason to hope - but I don't see one.
Nice photo composition
Thank you for this article, Dr Bregman
Love.
Great read Doc!!!
i woke up to this article, and i thank you for it. hoping that this is the path forward.
gmar chatima tova and a healthy and happy new year.